Atrophic Vaginitis

How to Say It: a-TRO-fic va-gin-I-tis


Atrophic vaginitis is when the tissues that line the vagina become thin, dry, and inflamed. It is most common in women who have gone through menopause.


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This problem happens when there is a lack of estrogen in the body. This hormone helps keep the skin of the vagina healthy and moist.

Risk Factors

Low estrogen levels are common after menopause. A woman’s ovaries make the hormone until menopause, which happens at about 52 years of age. After menopause, the vaginal walls become thin and less moist.

Other things that may lower estrogen and raise the risk of this problem are:

  • Primary ovarian insufficiency
  • Hyperprolactinemia
  • The use of hormonal therapies
  • Cancer treatments that affect the ovaries
  • Eating disorders
  • Too much exercise
  • Smoking


Some women do not have symptoms. Others may have:

  • Vaginal dryness
  • Vaginal irritation, itching, or burning
  • Vaginal pain
  • Pain during sex
  • Vaginal discharge
  • Problems urinating


You will be asked about your symptoms and health history. A physical exam will be done. A pelvic exam may also be done. This is often enough to make the diagnosis. Vaginal fluids may be tested to confirm it.


The goal of treatment is to ease symptoms. This can be done with:

  • Vaginal moisturizers or lubricants
  • Estrogen therapy, such as pills, creams, suppositories, or rings
  • Selective estrogen-receptor modulators (SERMs)

Regular sexual activity can also promote vaginal health by improving blood flow.


There are no known methods to prevent this health problem.


American Congress of Obstetricians and Gynecologists
Office on Women's Health—US Department of Health and Human Services


The Canadian Women's Health Network
Women's Health Matters


American College of Obstetricians and Gynecologists (ACOG). Practice Bulletin No. 141: management of menopausal symptoms. Obstet Gynecol. 2014 Jan;123(1):202-16, correction can be found in Obstet Gynecol. 2016 Jan;127(1):166.
Atrophic vaginitis. EBSCO DynaMed website. Available at: . Accessed August 4, 2020.
Last reviewed March 2020 by EBSCO Medical Review Board Beverly Siegal, MD, FACOG
Last Updated: 02/24/2021

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